The DOI matches its Crossref record; 71 of the 71 references it cites were found in a registry or an index.
Rapid-Response Systems as a Patient Safety Strategy: A Systematic Review
Open accessAbstract
Rapid-response systems (RRSs) are a popular intervention in U.S. hospitals and are supported by accreditors and quality improvement organizations. The purpose of this review is to evaluate the effectiveness and implementation of these systems in acute care settings. A literature search was performed between 1 January 2000 through 30 October 2012 using PubMed, PsycINFO, CINAHL, and the Cochrane Central Register of Controlled Trials. Studies published in any language evaluating outcome changes that occurred after implementing an RRS and differences between groups using and not using an RRS (effectiveness) or describing methods used by RRSs (implementation) were reviewed. A single reviewer (checked by a second reviewer) abstracted data and rated study quality and strength of evidence. Moderate-strength evidence from a high-quality meta-analysis of 18 studies and 26 lower-quality before-and-after studies published after that meta-analysis showed that RRSs are associated with reduced rates of cardiorespiratory arrest outside of the intensive care unit and reduced mortality. Eighteen studies examining facilitators of and barriers to implementation suggested that the rate of use of RRSs could be improved.
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“For example, the inconsistent and relatively limited effectiveness of rapid response team systems in reducing mortality50 may be attributable at least in part to failure to create programme theories appropriate to the various phases of this initiative's development.11”
From Demystifying theory and its use in improvement (2015) · cites this paper as [50]
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Metadata
- Authors
- Winters, B. D., Weaver, S. J., Pfoh, E. R., Yang, T., Pham, J. C., & Dy, S. M.
- Affiliations
- Johns Hopkins University (US)
- ORCID
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 2013-03-05
- Volume
- 158
- Issue
- 5_Part_2
- Pages
- 417-425
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- PMC
- PMC4695999
- OpenAlex
- W2007744576
- Cited by
- 438
- References
- 71
- Citations by year
- 2026: 19 · 2025: 21 · 2024: 30 · 2023: 25 · 2022: 31 · 2021: 38 · 2020: 26 · 2019: 35 · 2018: 28 · 2017: 42 · 2016: 38 · 2015: 51 · 2014: 43 · 2013: 11
- FWCI
- 8.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annals of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Public Health Service (HHSA-290-2007-10062I)
- National Cancer Institute (P30CA006973)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Keywords
- rapid response system, patient safety, acute care, implementation barriers and facilitators, out-of-hospital cardiac arrest, mortality reduction, hospital quality improvement
- MeSH terms
- Heart Arrest, Hospitals, Humans, Program Evaluation, Hospital Mortality, Hospital Costs, Safety Management, Risk Assessment, Hospital Rapid Response Team, Quality Improvement, Patient Safety
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